A Rare Case of Congenital Bowel Atresia: An Ultrasonographic Sign of Unsure Prognosis
Sandeep Kadu, Manoj S Munde, Vidit H Nagawade
Intestinal atresia refers to complete or partial obstruction of the intestinal lumen. Prevalence is 1/4000 to 5000 births without gender variance. In partial obstruction, the signs, such as vomiting, abdominal distension, and constipation delayed after birth or delayed in other manner. Intestinal atresia is less severe as compared to stenosis which may cause considerable difficulties. Obstructive syndrome must be ruled out in infant congenital intestinal stenosis. We report on a newborn female infant with clinical symptoms of persistent vomiting, constipation, abdominal distension, which was managed surgically. Surgical finding was a congenital stricture of the ileum. The patient died from complications. Obstructive syndrome in infant intestinal atresia is a rare entity, which is usually unsuspected, but it should be ruled out as a study protocol for intestinal obstruction. On ultrasound, gastrointestinal anomalies are usually detected in 2nd trimester (22â€“24 weeks). So it is very difficult to convince parent about late diagnosis of anomaly and can lead to legal headache to radiologist.
Intestinal atresia, Intestinal obstruction, Intestinal stenosis.